Quality RN

Title: Quality RN

Location: Remote

Company Description

Amwell is a leading telehealth platform in the United States and globally, connecting and enabling providers, insurers, patients, and innovators to deliver greater access to more affordable, higher quality care. Amwell believes that digital care delivery will transform healthcare. We offer a single, comprehensive platform to support all telehealth needs from urgent to acute and post-acute care, as well as chronic care management and healthy living. With over a decade of experience, Amwell powers telehealth solutions for over 150 health systems comprised of 2,000 hospitals and 55 health plan partners with over 36,000 employers, covering over 80 million lives.

Brief Overview:

This position provides quality review and support to the Amwell Medical Group (AMG). The RN candidate will be employed by Amwell providing review and support to the Amwell Medical Group Practice. The Amwell Medical Group is comprised of board-certified, credentialed, qualified physicians and other allied providers and is built to provide online healthcare services for Amwell’s Online Care clients.

The Amwell Medical Group currently provides acute care services in approximately 44 states, with the expectation of expanding to providing other medical services (e.g., chronic care management, specialty care, behavioral health) in all 50 states in the future. Care is delivered utilizing Amwell’s Online Care system. Online Care allows patients and consumers to connect with physicians immediately, whenever they have a health need, from their homes or offices. The innovation uses advanced Web-based technologies and telephony to remove traditional barriers to healthcare access, including insurance coverage, geography, mobility and time constraints.

Core Responsibilities:

• Participate in monthly Ongoing Professional Provider Evaluation (OPPE)- in-depth provider case reviews.
• Identify provider trends and deficits in clinical and documentation standards.
• Participation in Provider coaching/training
• Participate in monthly client meetings to understand and support client expectations.
• Initiation and management of Prior Authorizations.
• Participation in workflow design and QA improvements.
• Participation in risk management planning.
• Participation in ongoing policy and procedure design and editing- including, but not limited to clinical matters, intake, emergency preparation, referral planning, and documentation.
• Participation in regulatory assessment and compliance planning.
• Interface with providers as needed.
• Provide clinical support to other departments as needed to support organizational initiatives.
• Participation in department and committee meetings.
• Participation in the development of a process that measures outcomes.
• Participation in the quality management program, including investigation of red flag cases and adverse events.
• Participate in root cause analysis.

Qualifications:

• Registered nurse with a broad range of clinical experience; minimum of 10 years in practice
• Experience managing clinical outcomes based on a variety of acute and chronic illnesses.
• Strong communication skills: the ability to build professional relationships with providers to provide ongoing feedback/coaching.
• Strong analytical skills, review, and analysis of metrics to identify provider issues.
• Strong technical and application skills to support providers/patients.
• Interpretation and manipulation of clinical data via excel spreadsheets.
• Experience providing remote care/support is a plus.
• Desire to be a part of the telehealth innovation.

Additional information

Working at Amwell:

Amwell is changing how care is delivered through online and mobile technology. We strive to make the hard work of healthcare look easy. In order to make this a reality, we look for people with a fast-paced, mission-driven mentality. We’re a culture that prides itself on quality, efficiency, smarts, initiative, creative thinking, and a strong work ethic.

Our Core Values include One Team, Customer First, and Deliver Awesome. Customer First and Deliver Awesome are all about our product and services and how we strive to serve. As part of One Team, we operate the Amwell Cares program, which brings needed assistance to our communities, whether that be free healthcare for the underserved or for people affected by natural disasters, support for equality, honoring doctors and nurses, or annual Amwell-matched donations to food banks. Amwell aims to be a force for good for our employees, our clients, and our communities.

Amwell cares deeply about and supports Diversity, Equity and Inclusion. These initiatives are highlighted and reflected within our Three DE&I Pillars – our Workplace, our Workforce and our Community.

Amwell is a “virtual first” workplace, which means you can work from anywhere, coming together physically for ideation, collaboration and client meetings. We enable our employees with the tools, resources and opportunities to do their jobs effectively wherever they are!

The typical base salary range for this position is $91,200-$125,400. The actual salary offer will ultimately depend on multiple factors including, but not limited to, knowledge, skills, relevant education, experience, complexity or specialization of talent, and other objective factors. In addition to base salary, this role may be eligible for an annual bonus based on a combination of company performance and employee performance. Long-term incentive and short-term variable compensation may be offered as part of the compensation package dependent on the role. Some roles may be commission based, in which case the total compensation will be based on a commission and the above range may not be an accurate representation of total compensation.

Further, the above range is subject to change based on market demands and operational needs and does not constitute a promise of a particular wage or a guarantee of employment. Your recruiter can share more during the hiring process about the specific salary range based on the above factors listed.

Additional Benefits

• Unlimited Personal Time Off (Vacation time)
• 401K match
• Competitive healthcare, dental and vision insurance plans
• Paid Parental Leave (Maternity and Paternity leave)
• Employee Stock Purchase Program
• Free access to Amwell’s Telehealth Services, SilverCloud and The Clinic by Cleveland Clinic’s second opinion program
• Free Subscription to the Calm App
• Tuition Assistance Program
• Pet Insurance